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Updated: Jan 21, 2026

Rapid Viscoelastic Characterization of Airway Mucus Using a Benchtop Rheometer
Published on: April 21, 2022
Endotracheal tube mucus as a source of airway mucus for rheological study
Matthew R Markovetz1, Durai B Subramani1, William J Kissner1
1Marsico Lung Institute, University of North Carolina, Chapel Hill, North Carolina.
Abstract:
Muco-obstructive lung diseases (MOLDs), like cystic fibrosis and chronic obstructive pulmonary disease, affect a spectrum of subjects globally. In MOLDs, the airway mucus becomes hyperconcentrated, increasing osmotic and viscoelastic moduli and impairing mucus clearance. MOLD research requires relevant sources of healthy airway mucus for experimental manipulation and analysis. Mucus collected from endotracheal tubes (ETT) may represent such a source with benefits, e.g., in vivo production, over canonical sample types such as sputum or human bronchial epithelial (HBE) mucus. Ionic and biochemical compositions of ETT mucus from healthy human subjects were characterized and a stock of pooled ETT samples generated. Pooled ETT mucus exhibited concentration-dependent rheologic properties that agreed across spatial scales with reported individual ETT samples and HBE mucus. We suggest that the practical benefits compared with other sample types make ETT mucus potentially useful for MOLD research.
Insights
Endotracheal tube (ETT) mucus from healthy individuals offers a practical source for muco-obstructive lung disease (MOLD) research. Its composition and rheology are suitable for studying airway mucus dysfunction.
Area of Science:
- Pulmonary Medicine
- Biomaterials Science
- Mucus Biophysics
Background:
- Muco-obstructive lung diseases (MOLDs) involve hyperconcentrated airway mucus, impairing clearance.
- Research into MOLDs necessitates reliable sources of healthy airway mucus for experimental analysis.
- Current mucus sample sources like sputum or human bronchial epithelial (HBE) mucus have limitations.
Purpose of the Study:
- To characterize the ionic and biochemical composition of mucus collected from endotracheal tubes (ETT) from healthy subjects.
- To assess the suitability of ETT mucus as a research material for MOLD studies.
- To generate a pooled stock of ETT mucus for future experimental use.
Main Methods:
- Collected mucus from endotracheal tubes (ETTs) of healthy human subjects.
- Characterized the ionic and biochemical compositions of the collected ETT mucus.
- Generated a pooled stock of ETT mucus samples.
- Evaluated the rheologic properties of the pooled ETT mucus.
Main Results:
- The ionic and biochemical compositions of ETT mucus were successfully characterized.
- A usable stock of pooled ETT mucus was generated.
- Pooled ETT mucus demonstrated concentration-dependent rheologic properties.
- The rheologic properties of ETT mucus aligned with previously reported data for individual ETT and HBE mucus samples.
Conclusions:
- Endotracheal tube (ETT) mucus from healthy individuals is a viable and practical source for MOLD research.
- ETT mucus offers advantages over traditional sample types like sputum or HBE mucus.
- This research supports the use of ETT mucus for in vitro MOLD studies and therapeutic development.
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